Individual provider Active NPI

Gloria R. Yepes II, MS, SLP

  • Speech-Language Pathologist
  • Hialeah, FL
National Provider Identifier
1114103579
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 12791 Issued in FL
Practice address
8040 NW 95TH St Suite 337
Hialeah, FL 33016
Phone
(954) 793-0775
Fax
(786) 641-5968
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X NA FL
Speech-Language Pathologist 235Z00000X SA 12791 FL Primary

Addresses

Primary practice location

8040 NW 95TH St Suite 337
Hialeah, FL 33016

Mailing address

8040 NW 95TH St Suite 337
Hialeah Gardens, FL 33016
Phone (954) 793-0775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 12791FLMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1114103579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 NW 95TH ST SUITE 337",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "954-793-0775",
            "fax_number": "786-641-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 NW 95TH ST SUITE 337",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "954-793-0775",
            "fax_number": "786-641-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEPES",
        "first_name": "GLORIA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "name_suffix": "II",
        "credential": "MS, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": "FL",
            "license": "NA",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 12791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.